Active NPI 1154301471 Individual Practitioner Male Practitioner

Dr. James A Goudy , MD

Internal Medicine • Galion, OH

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. James Goudy, MD is a registered Internal Medicine practitioner in Galion, OH. With approximately 39 years of clinical practice since graduating from Ohio State University College Of Medicine in 1987, Dr. Goudy provides healthcare services at the registered practice location at 270 PORTLAND WAY S.

Dr. Goudy maintains professional affiliations with Galion Community Hospital, North Central Ohio Family Care Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include diagnostic exam of large bowel using a flexible endoscope, biopsy of large bowel using an endoscope, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

270 Portland Way S

Galion, OH 44833

Telephone 4194688323

Fax 4194625567

Associated Practice Facility / Clinic

🏢 Galion Community Hospital Facility NPI 1164655981

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Galion, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +2.5 yrs vs City Avg

City Avg: 36.5 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

4 Specialists

Practicing in Galion, OH (5516 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Goudy (39 Years) 39 Yrs

Galion Specialty Average (36.5 Years) 36.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45378 Diagnostic exam of large bowel using a flexible endoscope	32	32	$339.00	$164.22
45380 Biopsy of large bowel using an endoscope	29	29	$370.00	$161.14
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	26	$248.50	$98.95
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	23	$217.50	$81.59
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$339.00	$161.35
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$339.00	$172.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45378 Diagnostic exam of large bowel using a flexible endoscope	34	33	$339.00	$170.38
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	28	$217.50	$89.58
45380 Biopsy of large bowel using an endoscope	20	20	$370.00	$157.98
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$339.00	$178.31
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$248.50	$80.86
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	11	$475.50	$245.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	34	33	$217.50	$87.13
45378 Diagnostic exam of large bowel using a flexible endoscope	29	29	$339.00	$177.72
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	27	27	$339.00	$182.53
45380 Biopsy of large bowel using an endoscope	25	25	$370.00	$140.63
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$248.50	$103.50
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$475.50	$251.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	36	$217.50	$86.81
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	34	$248.50	$106.28
45378 Diagnostic exam of large bowel using a flexible endoscope	33	33	$339.00	$182.75
45380 Biopsy of large bowel using an endoscope	23	23	$370.00	$160.70
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	16	$475.50	$254.08
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$562.38	$186.32
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$157.00	$51.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	34	32	$217.50	$84.87
45378 Diagnostic exam of large bowel using a flexible endoscope	28	28	$339.00	$182.91
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	26	$248.50	$116.64
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	17	$157.00	$51.89
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	13	$33.00	$33.19
45380 Biopsy of large bowel using an endoscope	16	16	$370.00	$158.32
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	11	$475.50	$261.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	43	43	$217.50	$84.50
45378 Diagnostic exam of large bowel using a flexible endoscope	38	38	$339.00	$186.01
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$248.50	$114.82
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	20	14	$33.00	$32.96
45380 Biopsy of large bowel using an endoscope	17	17	$370.00	$183.55
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	15	$475.50	$261.48
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	15	$157.00	$51.67
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$339.00	$189.35
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	11	11	$415.82	$200.10
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$339.00	$189.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	43	43	$242.57	$93.12
45378 Diagnostic exam of large bowel using a flexible endoscope	33	33	$339.27	$180.78
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	21	$339.00	$186.99
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	15	$327.17	$122.66
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	14	14	$495.75	$231.93
45380 Biopsy of large bowel using an endoscope	12	12	$439.56	$125.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	123	100	$17.50	$7.91
45378 Diagnostic exam of large bowel using a flexible endoscope	72	70	$347.55	$174.82
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	69	65	$358.23	$88.38
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	59	57	$332.42	$102.15
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	38	36	$776.45	$200.94
45380 Biopsy of large bowel using an endoscope	29	29	$693.14	$152.82
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	22	$405.17	$177.17
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	12	12	$64.50	$20.71
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	12	12	$43.00	$13.80
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1041.34	$244.75

Medical Specialties & State Licenses

CMS Verified: 2020-12-30

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35057542G

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0747124 (OH)

Commercial Insurance / Payer ID Anthem Bcbs

000000371100 (OH)

Hospital & Practice Group Affiliations

Galion Community Hospital

269 Portland Way S, Galion, OH 448332312

Galion Community Hospital

270 Portland Way S, Galion, OH 448331631

Phone: 4194684841

North Central Ohio Family Care Center Inc

270 Portland Way S, Galion, OH 448332362

Phone: 4194688323

Galion Community Hospital

269 Portland Way S, Galion, OH 448332399

Phone: 4194684841

Galion Community Hospital

955 Hosford Rd, Galion, OH 448339325

Phone: 4194687059

North Central Ohio Family Care Center Inc

269 Portland Way S, Galion, OH 448332312

Phone: 4194684841

Galion Community Hospital

955 Bucyrus Rd, Galion, OH 448331509

Phone: 4194680505

North Central Ohio Family Care Center Inc

2981 W 4th St, Ontario, OH 449061267

Phone: 4194680505

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. Todd Darmody , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1225007545

Doctor of Medicine (M.D.)

Sarah Beattie , CNP

Nurse Practitioner - Family

NPI 1235578774

Certified Nurse Practitioner

Tabitha Hofer , CNP

Nurse Practitioner

NPI 1518523695

Certified Nurse Practitioner

Dr. Melany Raedy , DO

Psychiatry & Neurology - Neurology

NPI 1568501922

Doctor of Osteopathic Medicine (D.O.)

Dr. Larry Leone , DO

Family Medicine

NPI 1588644884

Doctor of Osteopathic Medicine (D.O.)

Dr. Heather Kremin , DO

Pediatrics

NPI 1801392626

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address December 30, 2020

Registered at 700 N COLUMBUS ST, CRESTLINE, OH 448271455 (Tel: 4194680511)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 270 PORTLAND WAY S, GALION, OH 44833 (Tel: 4194688323)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 607, GALION, OH 44833 (Tel: 4194680511)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES GOUDY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #35057542G in OH)

🟢

Initial NPI Registration & Enumeration January 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154301471

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 20, 2006

Last Update: December 30, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

700 N Columbus St

Crestline, OH 448271455

Phone: 4194680511

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.